JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Community Action Partners Client Feedback
Please complete this brief survey to help us better understand how to serve you and improve your experience!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What was the purpose of your visit?
Apply for help with your utility bill
Apply for help with your rent / mortgage
Apply for help with career & employment (CAPWorks)
Apply for help with your water bill (Fort Worth residents)
Apply for enrolling in Rising Stars Youth Leadership Academy
Apply for assistance with Veteran Services
Apply for assistance with taxes (Volunteer Income Tax Assistance - VITA)
Apply for Families in Transition
Apply for Smart Flush Toilet Program
Apply for Weatherization Services
Apply for assistance in the Silver Stars Senior Program
Apply for assistance in the Cowboy Santas Program
Other:
What center did you visit?
*
Andrew "Doc" Session Community Center
Como Community Center
Martin Luther King Community Center
North Tri-Ethnic Community Center
Northside Community Center
Southside Community Center
Worth Heights Community Center
Arlington CAP Center
Required
What is your zip code?
*
Your answer
Your Age Group
*
18-24
25-35
36-45
46-55
56-65
Over 66
Required
Were you able to be assisted at a time that was convenient for you?
Yes
No
Other:
Was the staff friendly?
*
Yes
No
Other:
Required
Did the staff make you feel welcome?
*
Yes
No
Other:
Were there services you were offered that you did not know about?
*
Yes
No
Other:
Required
Were you able to ask questions?
*
Yes
No
Other:
Required
Do you feel you received assistance during your visit?
Yes
No
Other:
Are there any services that they were not able to assist you with?
*
Your answer
How did you hear about Fort Worth Community Action Partners?
*
Website (Fort Worth)
Social Media (Facebook, Twitter)
Community center
Area Agency
Family or friend
Other:
I would recommend Fort Worth Community Action Partners to others...
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
